| NPI | 1518480003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS ANTHONY BARTON Owner 954-541-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010931) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-09-06 |